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CMS Initiates National Coverage Analysis for Medtronic's Renal Denervation System

• Medtronic's Symplicity Spyral Renal Denervation System, approved in over 75 countries, enters CMS national coverage analysis phase for hypertension treatment.

• The SPYRAL HTN Global Clinical Program, involving over 4,000 patients, has demonstrated sustained blood pressure reductions for up to three years in clinical trials.

• With hypertension affecting over 1 billion adults globally and 80% having uncontrolled blood pressure, this analysis could significantly impact treatment accessibility.

Medtronic plc announced that the Centers for Medicare & Medicaid Services (CMS) has initiated a national coverage analysis for its Symplicity™ Spyral Renal Denervation System, marking a significant step toward potential Medicare coverage for this innovative hypertension treatment.

Clinical Evidence and Global Presence

The Symplicity blood pressure procedure has demonstrated impressive clinical outcomes through the SPYRAL HTN Global Clinical Program, the most comprehensive study of renal denervation to date. The program has evaluated over 4,000 patients both with and without concurrent medication use, particularly focusing on those with high baseline cardiovascular risk.
Clinical data has shown sustained and durable blood pressure reductions extending to three years in both randomized controlled trials and real-world registry studies. The system has already gained regulatory approval in more than 75 countries worldwide, reflecting its growing acceptance in the global medical community.

Addressing a Critical Healthcare Need

Hypertension remains a significant global health challenge, affecting more than 1 billion adults worldwide and standing as the leading modifiable cause of heart attack, stroke, and death. Despite available treatments, blood pressure management continues to be suboptimal for many patients:
  • Nearly 80% of adults with hypertension do not have their condition under control
  • Half of hypertension patients become non-adherent to medication within one year
  • Current treatment options, including medications and lifestyle modifications, often fail to achieve desired outcomes

Technology and Implementation

The Symplicity Spyral system represents Medtronic's commitment to addressing complex health challenges through innovative technology. As part of Medtronic's broader portfolio of healthcare solutions, the system aligns with the company's mission to alleviate pain, restore health, and extend life.
The technology has been extensively studied in various clinical settings, with research published in prestigious medical journals demonstrating its safety and efficacy. The system's performance has been evaluated both in the presence and absence of antihypertensive medications, providing comprehensive data on its utility across different patient scenarios.

Impact on Healthcare Delivery

The CMS national coverage analysis represents a crucial step toward potentially expanding access to this treatment option for Medicare beneficiaries. This development could significantly impact the treatment landscape for hypertension management in the United States, particularly for patients who struggle with medication adherence or have resistant hypertension.
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Reference News

[1]
Medtronic announces CMS national coverage analysis for Symplicity™ Spyral Renal Denervation System
finance.yahoo.com · Jan 13, 2025

The Medtronic SPYRAL HTN Global Clinical Program studies renal denervation (RDN) in over 4,000 patients, showing sustain...

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